Healthcare Provider Details

I. General information

NPI: 1679916035
Provider Name (Legal Business Name): LIMBIONICS OF DURHAM, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2013
Last Update Date: 04/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5007 SOUTHPARK DR SUITE 110
DURHAM NC
27713-7739
US

IV. Provider business mailing address

5007 SOUTHPARK DR SUITE 110
DURHAM NC
27713-7739
US

V. Phone/Fax

Practice location:
  • Phone: 919-908-8975
  • Fax: 919-869-1987
Mailing address:
  • Phone: 919-908-8975
  • Fax: 919-869-1987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY STRESING
Title or Position: PRESIDENT
Credential: CPO
Phone: 919-622-8265